NACOR FINAL EVALUATION 2026 TESTED
QUESTIONS GRADED A+
⩥ New wearer comes for an unscheduled follow-up visit. They wear
hydrogel monthly lenses. She comes in without the lenses on and
complains of discomfort immediately upon insertion. What is the
solution
Answer: Edge Tear/damage Inspect the lens with or without slit lamp
⩥ Care regimen: ReNu Fresh
Wearing time 8-10 hrs.
VA OU 20/20
Patient complains of dry eyes and increased lens intolerance. She
received her lenses in April and it is now November. She finds the
symptoms to be worse at work. Possible solution?
Answer: Preservative sensitivity
Pregnancy
Any new medications or systemic issues?
What is her environment like? It's fall and the heat may have been
turned on. She may need a vent deflector or a humidifier
⩥ Patient is a new CL wearer. She wears the lenses for awhile, but can't
increase time above about 8 hrs.
, Possible solution?
Answer: If fitting in a lens material known to be good for dry eyes and
using hydrogen peroxide disinfection or daily disposable wear doesn't
help, consider dry eye therapy- Steroids, fish oil, lid scrubs and massage,
lubricants and then refit
⩥ What are two common reasons that patients have decreased vision
with cls?
Answer: They switched the lenses or the lens is inverted
⩥ Rx OD -2.25-0.75X180
OS -2.50-0.50 X180
K's OD 42.00/42.75 @90
OS 42.00/42.50 @90
TBUT 9 seconds OU
CL's OU -2.50/8.7/AV Oasys
VA OD 20/25-3 OS 20/20-2
She comes for follow-up complaining of reduced vision with the contact
lenses only. What should you do?
Answer: Can try toric lens in the right eye with aspheric in the left
⩥ What could possible problems be if the patient is complaining of
decreased VA with both cls and specs?
Answer: 1. Ocular condition
2. Edema
QUESTIONS GRADED A+
⩥ New wearer comes for an unscheduled follow-up visit. They wear
hydrogel monthly lenses. She comes in without the lenses on and
complains of discomfort immediately upon insertion. What is the
solution
Answer: Edge Tear/damage Inspect the lens with or without slit lamp
⩥ Care regimen: ReNu Fresh
Wearing time 8-10 hrs.
VA OU 20/20
Patient complains of dry eyes and increased lens intolerance. She
received her lenses in April and it is now November. She finds the
symptoms to be worse at work. Possible solution?
Answer: Preservative sensitivity
Pregnancy
Any new medications or systemic issues?
What is her environment like? It's fall and the heat may have been
turned on. She may need a vent deflector or a humidifier
⩥ Patient is a new CL wearer. She wears the lenses for awhile, but can't
increase time above about 8 hrs.
, Possible solution?
Answer: If fitting in a lens material known to be good for dry eyes and
using hydrogen peroxide disinfection or daily disposable wear doesn't
help, consider dry eye therapy- Steroids, fish oil, lid scrubs and massage,
lubricants and then refit
⩥ What are two common reasons that patients have decreased vision
with cls?
Answer: They switched the lenses or the lens is inverted
⩥ Rx OD -2.25-0.75X180
OS -2.50-0.50 X180
K's OD 42.00/42.75 @90
OS 42.00/42.50 @90
TBUT 9 seconds OU
CL's OU -2.50/8.7/AV Oasys
VA OD 20/25-3 OS 20/20-2
She comes for follow-up complaining of reduced vision with the contact
lenses only. What should you do?
Answer: Can try toric lens in the right eye with aspheric in the left
⩥ What could possible problems be if the patient is complaining of
decreased VA with both cls and specs?
Answer: 1. Ocular condition
2. Edema
